MIAMI—Obstructive sleep apnea (OSA) is known to increase the risk of early mortality, stroke, and cardiovascular disease (CVD). A study published in the journal Frontiers in Neurology noted that OSA is defined by the apnea–hypopnea... View Article
In a move that reanimated a long-standing controversy in cardiology, a recently published study supports and extends the findings of landmark research done by the VA more than a decade ago.
Influenza hits veterans hard, and older veterans with cardiovascular disease face a substantially increased risk of complications and death from the common ailment.
Since the mid-1980s, aspirin has been used as a preventive drug for cardiovascular disease. In fact, the U.S. Preventive Services Task Force (USPSTF) says that about 40% of American adults over 50 currently take a daily aspirin to prevent heart attacks or strokes.
BOSTON — A single heart rate (HR) measurement could be important in determining future prognosis of chronic heart failure with reduced ejection fraction (HFrEF). Still, according to a recent article in the American Journal of Cardiology, the importance of... View Article
WASHINGTON – In general, older patients are more likely to have heart failure than younger ones. That is not true, however, with a group of men 100-years-old or older treated by the VA, according to... View Article
DURHAM, NC – How are long-term chronic heart failure (HF) survivors who are hospitalized for acute exacerbation different from patients with more recent HF diagnoses? A study led by Duke University and involving researchers from... View Article
Use of nonsteroidal anti-inflammatory (NSAID) drugs has been linked to a higher risk of cardiovascular issues, but a new study offers a possible way to mitigate that factor.
After the release of the SPRINT research in 2015, the question about treating hypertension in older adults appeared to be, “How low can you go?”
Cardiovascular risk is increased in patients with Type 2 diabetes, at least partly because of hypertriglyceridemia and low high-density lipoprotein cholesterol.
What is the association between exercise capacity and the risk of major adverse cardiovascular events (MACEs)?
Statins appear to lower risk of amputation and death in veterans with peripheral artery disease (PAD), according to a recent study.
While high mortality rates have been reported after major amputations of a lower limb secondary to diabetes and peripheral vascular disease, the mortality rates have varied across studies.
Although most patients in the United States die of another condition, cancer is the focus of most end-of-life care studies.
WASHINGTON—The VA treats about a million veterans for diabetes, nearly one-fourth of its patient population.
All Fail to Consistently Meet Performance MeasuresBy Brenda L. MooneyHOUSTON — Cardiac patients and even some medical staff might assume they will receive the best ongoing care when they see a physician, not an advanced... View Article
New Guidelines Significantly Different from AHA/ACC Document
By Annette M. BoyleSAN FRANCISCO — For selected patients with carotid stenosis, national guidelines recommend revascularization for primary or secondary prevention of stroke. Increasingly, though, it appears that veterans who could benefit the most from... View Article
Effort Seeks to Standardize Care Across VAMCsBy Annette M. BoyleINDIANAPOLIS — Since the publication of the VHA directive on treatment of acute ischemic stroke (AIS) in November 2011, VA medical facilities nationwide have responded by... View Article
Chronic Conditions Also Associated With Past Combat ExperienceAnnette M. BoyleMINNEAPOLIS — Serious health conditions linked to post-traumatic stress disorder (PTSD) continue to mount. Researchers recently uncovered a significant link between the condition and the risk... View Article
Annette M. BoyleASHEVILLE, NC — Screening, frequent appointments and other interventions enabled the VA by 2010 to bring blood pressure under control in more than three-quarters of patients with hypertension. Helping the remaining one-quarter adhere... View Article
HOUSTON — Heart disease is the No. 1 killer of women veterans, yet they remain undertreated
SEATTLE - While combat has long been known to increase the risk of musculoskeletal injuries, post-traumatic stress disorder (PTSD)
Why Do Overweight Patients Live Longer with Heart Failure? Now the leading cause of hospital admissions in the VA Health Care System, heart failure is associated with high mortality rates and poor quality of life.
By Stephen Spotswood WASHINGTON – Chronic obstructive pulmonary disease (COPD) is sometimes referred to as the “quiet” or “silent” killer by clinicians trying to treat it. It presents few symptoms in its earliest stages and... View Article
New Formulations Might Be More Effective By Annette M. Boyle BETHESDA, MD – In the last 50 years, the use of anticoagulants has transformed mortality rates for deep vein thrombosis (DVT), pulmonary embolism (PE) and... View Article
By Sandra Basu WASHINGTON – The maximum rates of annual pay for incoming VHA physicians and dentists would be increased as much as $35,000, under a VA proposal announced last month. The updated pay tables... View Article
VA Study Latest in Debate about Old Drug’s Safety By Brenda L. Mooney PALO ALTO, CA – A new study is calling into question the practice of treating atrial fibrillation with digoxin, finding that patients... View Article
By Annette M. Boyle MILWAUKEE – Many patients prefer the devil they know. When asked whether they want to go on or switch to a novel oral anticoagulant (NOAC) that requires little monitoring, has few... View Article
By Annette M. Boyle ATLANTA – While three-quarters of stroke patients are older than 65, a “brain attack” can affect people of any age. For young American Indians and Alaskan Natives (AI/AN), that information is... View Article
SILVER SPRING, MD — Military research is raising a new question about an old issue: Why do African-Americans have higher incidence rates of hypertension compared with servicemembers of other races and ethnicities despite equitable access to healthcare within the armed forces?
By Annette M. Boyle PALO ALTO, CA — Medication is only effective if taken, yet how to make sure patients maintain adherence with anticoagulants and many other long-term medications for chronic diseases poses one of... View Article
WASHINGTON — Use of novel anticoagulants has risen sharply both at the VA and in the Army in the last three years, freeing more atrial fibrillation patients from food restrictions and regular checks for coagulation time, as required when using warfarin.
By Annette M. Boyle BOSTON — During the past 15 years, female veterans have developed risk factors for cardiovascular disease (CVD) at ever-younger ages, challenging many providers’ concept of the population at risk for heart... View Article
SAN FRANCISCO — A new study adds to the growing evidence that patients with post-traumatic stress disorder (PTSD) also have increased risks for developing myocardial ischemia.
DENVER — Personalized attention from a pharmacist increases medication adherence in patients to nearly 90% in the year following hospitalization for acute coronary syndrome (ACS), according to a recent study.
WASHINGTON — Veterans discharged with a diagnosis of acute kidney injury (AKI) have twice the mortality rate of those diagnosed with myocardial infarction (AMI), yet a lack of awareness and treatment options limit physicians’ ability to manage the condition.
By Brenda L. Mooney P. Michael Ho, MD, PhD DALLAS — When considering prescribing androgen deficiency treatment, VA physicians should take into consideration a new study finding that testosterone replacement therapy increased risks of death,... View Article
MEMPHIS, TN — Proteinuria-lowering interventions in patients with advanced chronic kidney disease (CKD) should be implemented cautiously, considering the potential for adverse outcomes, according to a new study led by researchers from the Memphis, TN,... View Article
By Steve Lewis Lisa Lang ORLANDO, FL — Lisa Lang, who recently received the 2013 Secretary of Veterans Affairs’ Award for Excellence in Nursing, clearly believes her career is “all in the family.” “My mother... View Article
Martin D. McCarter, MD By Annette M. Boyle DENVER — Are increased wait times at the VA for colorectal cancer procedures because patients are receiving more appropriate care, or are they simply dangerous delays that... View Article
SAN FRANCISCO – Too little sleep, especially early awakening, plays a significant role in raising unhealthy levels of inflammation among women with coronary heart disease, according to a new study. Interestingly, the elevated inflammation affected... View Article
By Sandra Basu WASHINGTON – An investigation is ongoing “to determine a definitive cause” of an accident in which a veteran died from injuries sustained when a portion of a nuclear medicine system fell during... View Article
By Brenda L. Mooney ANN ARBOR, MI – New research on short- and long-term cardiovascular risks from traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) could present significant challenges for the VA and the... View Article
By Brenda L. Mooney DALLAS — Adverse effects from statin therapy go beyond just muscle pain and weakness, also increasing risks of musculoskeletal conditions, arthropathies and injuries, according to a new VA study using a... View Article
By Annette M. Boyle Mintu Turakhia, MD PALO ALTO, CA – Cardiologists may overtreat veterans newly diagnosed with atrial fibrillation and atrial flutter, while primary care physicians may undertreat them, according to research recently published... View Article
For example, battlefield conditions ranging from sun exposure to crowded living conditions to chafing and sweating caused by body armor can create hard-to-manage dermatologic issues. This year’s Compendium discusses the unexpectedly high rate of medical... View Article
“An army is a minature of the society which produces it.”– C.L.R. James Brenda L. Mooney, Editorial Director On a recent road trip to enjoy the spring weather, my husband and I stopped at a... View Article
Annette M. Boyle Dr. Alan Jacobson, MD, Director of the anti-coagulation services at the Loma Linda, CA, Veterans Administration Medical Center BOSTON – While newer anticoagulants provide options for many patients with atrial fibrillation (AF)... View Article
INDIANAPOLIS, IN – A new study from the Roudebush VAMC in Indianapolis suggests survival rates are better when diabetes patients with multivessel coronary artery disease receive coronary artery bypass graft (CABG) surgery as opposed to... View Article
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